| NPI | 1689820045 |
|---|---|
| Former Name | TAMMY ANN EWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106785) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097171) |
| 104100000X Social Worker (Licence: MI 6802082145) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-08-16 |
| Last Update Date | 2021-07-27 |